Wednesday, August 12, 2015

What are they thinking?

Walking to increase my fitness and to fight
obesity should not be considered a LUXURY
I am not one who complains about governmental polices very often. Laws are created and stricken based upon the need of the society that it serves. However, there are times when the proposed changes are so far removed from the reality of the situation that it becomes absurd. There is a proposed change to the Medicare guidelines that is insane, from the point of view of most amputees.

This change, while restricted to Medicare will affect most people that have private insurance also. I don't know how many times in the last 6 months that I have heard the words "Medicare guidelines" when discussing issues with both my case nurse and prosthestist. If Medicare will cover something, my insurance will. However, if Medicare will not cover something, most of the time neither will my insurance. I have good insurance, it is not the Rolls-Royce of policies, but it has been fantastic at covering many different aspects of my care over the last year and a half. I have not had to do much fighting at all to get stuff covered.

The new guidelines will hold me at my current fitness level (K3) even though I have the ability and drive to be a K4. Even if I am capable of running, I will never get a new socket or running leg. Currently, I would be able to get the proper prosthesis for my activity level, but in the future, I will only have the socket I have - UNLESS - I pay for it 100% out of pocket. OUCH! Legs can cost between 12 and 25 Thousand dollars. The one I have now cost about as much as a Toyota Corolla. ($16,500). Just for those that are mathematically challenged, a 3 year loan at a modest interest rate for that amount would be about 350 a month (since most feet are warranted for 3 years)

We need help in increasing the number of signatures on the petition. I need my friends, family, and their friends and family to help support the current guidelines, not just for me, but for all those 3.5 million amputees around the country. Do it for the little 4 year olds that lose their legs to cancer, but will only receive one socket in their lifetime that is covered by their insurance. Do it for the veterans who have lost their legs in the service of their country. We need your help. We need 30 thousand more signatures to get this proposal reviewed before August 31st.

Remember, for most of us in the amputee world, having a prosthetic is #notaluxury it is a #matteroflife . Please make sure that the thousands of dollars a year I drop on insurance goes to good use. Make it work for both me and you. There are a lot of other changes that will affect others too. Like access to long term medical care, wellness, tobacco withdrawal, mental health and other things. Putting us back 40 years or more, and denying us the recent technological advances. You never know when you will need your medical insurance, and when you need it.. It needs to work.

No comments:

Post a Comment